Individual
ALBERT VILLAVIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2741 COBBLEVIEW DR, FORT WORTH, TX 76179-1750
(323) 326-6613
Mailing address
2741 COBBLEVIEW DR, FORT WORTH, TX 76179-1750
(323) 326-6613
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
SLN6734
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
SLN8734
TX
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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